Individual provider Active NPI

Cory Robert Bauer, DPT

  • Physical Therapist
  • Cranberry Township, PA
National Provider Identifier
1750875472
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026877 Issued in PA
Practice address
8000 Cranberry Springs Dr Ste 100
Cranberry Township, PA 16066-6687
Phone
(724) 720-3050
NPI assigned
Jun 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026877 PA
Physical Therapist 225100000X 026877 PA Primary

Addresses

Primary practice location

8000 Cranberry Springs Dr Ste 100
Cranberry Township, PA 16066-6687

Mailing address

8000 Cranberry Springs Dr Ste 100
Cranberry Township, PA 16066-6687
Phone (724) 720-3050

Other practice location 1

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-1514

Other practice location 2

480 Johnson Rd Ste 303
Washington, PA 15301-8936
Phone (724) 223-2061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cory.r.bauer@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226002365 PA Practitioner - Physical Therapist in Private Practice 4981949609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026877PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC CurrentSince Jun 14, 2018 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Jun 14, 2018 Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

Interoperability endpoints

  • Direct secure messaging: cory.r.bauer@upmcdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1750875472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR STE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666687",
            "telephone_number": "724-720-3050",
            "fax_number": "724-720-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR STE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666687",
            "telephone_number": "724-720-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 E Main St",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-867-1514",
            "fax_number": "717-867-1531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Johnson Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153018936",
            "country_code": "US",
            "telephone_number": "724-223-2061",
            "fax_number": "724-223-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CORY",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-16",
        "last_updated": "2023-01-30",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026877",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "026877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cory.r.bauer@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.